Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Clinical Practice Guideline for Cardiac Rehabilitation in Korea

  • Kim, Chul (Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Sung, Jidong (Division of Cardiology, Department of Medicine, Sungkyunkwan University School of Medicine-Heart Vascular Stroke Institute, Samsung Medical Center) ;
  • Lee, Jong Hwa (Department of Physical Medicine and Rehabilitation, Dong-A University College of Medicine-Regional Cardiocerebrovascular Center, Dong-A Medical Center) ;
  • Kim, Won-Seok (Department of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Lee, Goo Joo (Department of Rehabilitation Medicine, Chungbuk Regional Cardiocerebrovascular Center, Chungbuk National University Hospital, Chungbuk National University College of Medicine) ;
  • Jee, Sungju (Department of Rehabilitation Medicine, Daejeon Chungcheong Regional Cardiocerebrovascular Center, Chugnam National University Hospital, Chungnam National University College of Medicine) ;
  • Jung, Il-Young (Department of Rehabilitation Medicine, Daejeon Chungcheong Regional Cardiocerebrovascular Center, Chugnam National University Hospital, Chungnam National University College of Medicine) ;
  • Rah, Ueon Woo (Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine) ;
  • Kim, Byung Ok (Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Choi, Kyoung Hyo (Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwon, Bum Sun (Department of Rehabilitation Medicine, Dongguk University School of Medicine) ;
  • Yoo, Seung Don (Department of Rehabilitation Medicine, Kyung Hee University College of Medicine) ;
  • Bang, Heui Je (Department of Rehabilitation Medicine, Chungbuk Regional Cardiocerebrovascular Center, Chungbuk National University Hospital, Chungbuk National University College of Medicine) ;
  • Shin, Hyung-Ik (Department of Rehabilitation Medicine, Seoul National University Children's Hospital, Seoul National University College of Medicine) ;
  • Kim, Yong Wook (Department and Institute of Rehabilitation Medicine, Yonsei University College of Medicine) ;
  • Jung, Heeyoune (National Traffic Injury Rehabilitation Hospital) ;
  • Kim, Eung Ju (Division of Cardiology, Department of Medicine, Korea University Guro Hospital, Korea University College of Medicine) ;
  • Lee, Jung Hwan (Namdarun Rehabilitation Clinic) ;
  • Jung, In Hyun (Department of Internal Medicine, Inje University Sanggye Paik Hospital, Inje University College of Medicine) ;
  • Jung, Jae-Seung (Department of Thoracic and Cardiovascular Surgery, Korea University Anam Hospital) ;
  • Lee, Jong-Young (Division of Cardiology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Han, Jae-Young (Department of Rehabilitation Medicine, Gwangju-Jeonnam Regional Cardiocerebrovascular Center, Chonnam National University Hospital, Chonnam National University Medical School) ;
  • Han, Eun Young (Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Won, Yu Hui (Department of Physical Medicine and Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Han, Woosik (Department of Thoracic Surgery, Chungnam National University Hospital) ;
  • Baek, Sora (Department of Rehabilitation Medicine, Kangwon National University School of Medicine-Kangwon Regional Cardiocerebrovascular Center, Kangwon National University Hospital) ;
  • Joa, Kyung-Lim (Department of Rehabilitation Medicine, Inha University Hospital) ;
  • Lee, Sook Joung (Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Ae Ryoung (Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, So Young (Department of Rehabilitation Medicine, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Kim, Jihee (Department of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Choi, Hee Eun (Department of Physical Medicine and Rehabilitation, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Lee, Byeong-Ju (Department of Rehabilitation Medicine, Pusan National University Hospital) ;
  • Kim, Soon (Research Institute for Social Science, Ewha Woman's University)
  • Received : 2019.06.25
  • Accepted : 2019.07.06
  • Published : 2019.08.05
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Abstract

Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

Keywords

References

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